Coronary Bypass Without Cardiac Catheterization with Mcc in Pennsylvania
MS-DRG 235: Coronary bypass without cardiac catheterization with mcc
$248,138typical hospital bill
$52,462typical amount paid
$40,311–$72,836range paid across 13 hospitals
Pennsylvania hospitals billed Medicare a typical $248,138 for this stay in 2024, about 4.7 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| Lancaster General Hospital | Lancaster | 26 | $153,156 | $40,311 | |
| Jefferson Abington Hospital | Abington | 23 | $136,477 | $44,268 | |
| Lehigh Valley Hospital | Allentown | 40 | $281,719 | $46,561 | |
| Reading Hospital | West Reading | 18 | $164,733 | $47,842 | |
| Upmc Pinnacle Hospitals | Harrisburg | 18 | $195,660 | $47,999 | |
| Main Line Hospital Lankenau | Wynnewood | 38 | $248,138 | $49,805 | |
| Allegheny General Hospital | Pittsburgh | 12 | $205,615 | $52,462 | |
| Upmc Presbyterian Shadyside | Pittsburgh | 39 | $723,350 | $53,378 | |
| Penn Presbyterian Medical Center | Philadelphia | 43 | $375,160 | $58,393 | |
| St Lukes Hospital | Bethlehem | 29 | $453,333 | $62,374 | |
| Milton S Hershey Medical Center | Hershey | 16 | $207,390 | $68,930 | |
| Hospital of Univ of Pennsylvania | Philadelphia | 38 | $515,058 | $70,057 | |
| Thomas Jefferson University Hospital | Philadelphia | 12 | $268,672 | $72,836 |
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.